摘要
目的探讨经尿道输尿管镜下利用筋膜扩张器行前尿道狭窄扩张术的手术护理技术技巧及手术中的配合要点。方法分析1例男性前尿道狭窄经输尿管镜下行尿道扩张术的手术护理技术技巧及手术中的配合要点。结果该例患者手术成功,手术时间1.5h,术中出血量约10ml,术中出血少,创作小,可在直视下行尿道扩张术,手术安全,减少手术并发症。未发生因手术器械物品准备不齐全而导致改变手术方式。患者尿道极度狭窄首次扩张成功,免行尿道狭窄粘连段切除后尿道吻合术。患者住院18d,留置三腔导尿管10~14d。结论经尿道输尿管镜下尿道扩张术的手术护理配合对保证手术成功有重要意义。
Objective To explore the minimal y invasive gall preserving lithotomy treatment ef ect.Methods Our hospital 2012.2~2013.12 gallbladder stone patients and observe the effect of whole nursing.Results Gal bladder preserving Shuyou conducive to recovery and quality of life of patients with postoperative improvement.Conclusion Minimal y invasive cholecystolithotomy with reservation of gal bladder maintaining normal function,and clear the inflammatory reaction stones of the gal bladder wal long-term adverse stimuli,with less trauma,shorter operation time,less risk,less complications,quicker recovery.
作者
王小坤
WANG Xiao-kun(Chengde County Hospital,Chengde 067400,Hebei,China)